Tag Archives: Prehospital 12-Lead ECG blog

88 year old female: Weakness – Discussion

Entry Img

This is the discussion for 88 year old female: Weakness. If you've not read the backstory, we suggest you check it out! When we last left off, our patient was in an exam room with an irregularly irregular rhythm. The ED physician had asked you if the patient had a history of atrial fibrillation. Let's […]

88 year old female: Weakness

Entry Img

This great case was submitted by Vince DiGiulio, EMT-CC; we highly recommend you read his wonderful blog The Medial Approach to Emergency Medicine. As usual, the case has been altered to protect patient and provider privacy. You're working triage in a busy urban ED when an 88 year old female is brought in by her family. […]

Discussion for 51 Year Old Male: Chest Pain

Entry Img

Here is the conclusion to 51 year old male: Chest Pain. You may wish to review the case. Here is the ECG again:   There is a regular sinus rhythm at a rate of about 70. The QRS is narrow. The axis is normal, at about 15 degrees. Let's take a look at the constellation […]

65 year old male CC: Fall with injury – Conclusion

Entry Img

This is the conclusion to 65 year old male CC: Fall with injury. You may wish to review the history and clinical presentation. When we left off the patient was in severe heart failure with the following 12-lead ECG. As we have mentioned before on several occasions, the most important thing when treating a patient […]

65 year old male CC: Fall with injury

Entry Img

Here's a very interesting case submitted by a faithful reader who wishes to remain anonymous. Some changes have been made to preserve patient confidentiality. EMS is called to a local breakfast restaurant for a 65 year old male who fell in the parking lot. He was reported to have suffered a head injury. On arrival […]

"What Happened?"–Discussion

Entry Img

This is the discussion to "What Happened?" You may wish to review the case here. Ok, let's review the initial 12 Lead: Just about everyone picked up on the infero-posterior STEMI. Where it got interesting for me, was determining what the rhythm was! At first glance, the rhythm was for the most part regular (note […]

Snapshot: 32 year old male–chest discomfort

Entry Img

Here's a new snapshot case straight from the UK… We have a 32 year old male, normally fit with no history whatsoever. He has had a stressful week (personal issues), and decided maybe a 4 mile run might help. It didn't. When he returned home, he developed sudden onset of chest discomfort, and decided to […]

69 year old female CC: Shortness of breath, weakness

Entry Img

Here's a case submitted by a faithful reader who wishes to remain anonymous. He has submitted several cases before and they are always excellent so thank you, Mr. Anonymous!  EMS is called to the residence of a 69 year old female who is complaining of sudden onset of shortness of breath and weakness. Past medical […]

63 Year Old Male: "Dental Pain"

Entry Img

Here is an interesting case submitted by Adam Frederick, NREMT-Intermediate.  As usual, some details have been changed to protect patient confidentiality. EMS is called to the local Urgent Care for a 63 year old male complaining of upper jaw pain related to "dental work". He had made two trips to the dentist this past week […]

Team EMS 12-Lead brings home Judges' Choice for 2012 EMS Blog of the Year

Entry Img

On behalf of Team EMS 12-Lead (Tom Bouthillet, David Baumrind and Christopher Watford) I am pleased to officially acknowledge that the EMS 12-Lead blog won Judges' Choice for 2012 EMS Blog of the Year. This contest was hosted by EMS1, FireRescue1 and FireCritic.com and sponsored by the American Military University. The total list of nominees can be found here. Lots of […]

Page 2 of 3112345...102030...Last »

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Comments
Keren Levi
The 360 Degree Heart – Part I
Lately, a few paramedic-students arrived at my station. So i tried to explain that basics at my best simpliest way. After readinv your perfectly coherent "article", i couldnt stop smily for knowing we both thought of same phrases and associatives words. For me it is a great compliment! Thanks for writing! Cant wait for part…
2014-09-17 19:34:44
Richard Kenkel
64 y.o. Female with CP – “And then I gave her a NTG…”
Cardiac arrest? Its a RELATIVE contraindication. You need to use clinical gestalt. Her blood pressure is quite high, and her heart rate is average, she would probably tolerate nitro quite well. Provided she's not on beta blockers or calcium channel blocker, orthostatic hypotension etc, from what I can tell she'd compensate just fine. While there…
2014-09-16 02:05:12
Stephen Smith, of Dr. Smith's ECG Blog
59 year old male: chest pressure
Inferolateral MI, not RV (T-wave down in V1)
2014-09-14 18:16:53
Alex
The 360 Degree Heart – Part I
Some models of ECG machines have an option to flip aVR upside down. In this case it looks at +30* and fills in the gap between I and II.
2014-09-14 16:00:21
Lucas
59 year old male: chest pressure
Besides MI and Aortic Dissection, this presentation of acute chest pain and hemodynamic compromise, associated with important dyspnea would concern me for PE, which I think should be properly investigated.
2014-09-14 14:35:36
Give It The Best That You Have
First Day Back
First Day Back
New Leaders: JFK's Nightmare
New Leaders: JFK's Nightmare
It's OK.
It's OK.
Welcome to the Club
Welcome to the Club

STEMI Expert?

  • Click here to find out!
  • 12-Lead ECG Challenge Smartphone App

    Photobucket

    12-Lead ECG Challenge Smartphone App - $5.99

  • Apple iOS
  • Android
  • Amazon
  • Web Based

  • FRN-TV video review
  • iMedicalApps.com review
  • Interested in resuscitation?

    FireEMS Blogs eNewsletter

    Sign-up to receive our free monthly eNewsletter

    Visitor Map / Stats

    Locations of visitors to this page


    LATEST EMS NEWS

    HOT FORUM DISCUSSIONS